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Grocery Shopping and Eating Behaviors Differ Between Persons With and Without a Spinal Cord Injury
Zachary J Donato1, Adam S Levy1, Alicia Sneij2,3
1University of Miami Miller School of Medicine, Miami, Florida.
Topics in Spinal Cord Injury Rehabilitation
|February 26, 2025
Summary
Individuals with spinal cord injury (SCI) shop for groceries less frequently and rely more on others for food acquisition compared to those without SCI. These changes impact health outcomes and neurogenic obesity risk.
Area of Science:
- Neuroscience
- Public Health
- Behavioral Science
Background:
- Spinal cord injury (SCI) increases susceptibility to neurogenic obesity due to altered metabolism and diet.
- Post-SCI, individuals may change grocery shopping and eating behaviors, affecting health outcomes.
Purpose of the Study:
- To compare grocery shopping and eating behaviors between individuals with and without SCI.
Main Methods:
- An online, cross-sectional survey assessed grocery shopping frequency, shopper identity, and dietary habits (alcohol, fast food, fried food) in adults with (n=207) and without (n=52) SCI.
- Regression analyses were used for group comparisons, controlling for relevant covariates.
Main Results:
- Fewer individuals with SCI shopped independently in person and more relied on others for groceries compared to controls.
- Individuals with SCI had a lower overall and independent in-person monthly grocery shopping frequency.
- Alcohol consumption was lower in individuals with SCI, while fast food and fried food intake were similar.
Conclusions:
- Spinal cord injury significantly alters grocery acquisition behaviors, with individuals obtaining groceries less often and depending more on external assistance.
- These behavioral shifts underscore the impact of SCI on factors contributing to neurogenic obesity and highlight potential intervention targets for improved health post-injury.
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